Application For Child Care Leave

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* Employee ID:
*Name Of The Applicant : *Designation :
*Mobile 1: Mobile 2:
E-mail ID: *Name of the Circle :
*School name :
*Date of first joining in service :
* Date of Completion of 2 years continous and satisfactory service : *Period of leave as applied for :
Minimum days eligible for application - 15 Days 		     
  Days
*Leave Purpose : *Name Of the child :
*Date of Birth of the child :
Child DOB Should be greater than(29-May-2004) 		Is the Child among the two eldest children :
*Any leave in credit (as on Date) : Prefix of holidays, if any :
Suffix of holidays, if any : * Total Child Care Leave availed till date :
Date of returns from last leave & nature and period of that leave : Application date :